Organization
NEW YORK SPINE CARE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD MUSTAFA KHAN M.D. (PRESIDENT)
(631) 656-6853
Entity
Organization
Contact information
Practice address
285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
(631) 656-6853
(631) 656-6855
Mailing address
285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
(631) 656-6853
(631) 656-6855
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
231492
NY
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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